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General NPI Number Information
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NPI Number | 1336435262
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Entity Type | Individual
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Provider Name | JANE C LANIER MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 3520 PIEDMONT RD NE STE 330
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City | ATLANTA
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State | GA
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Zip | 30305-1552
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Country | US
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Telephone | 404-351-2008
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Fax | 404-351-0243
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Provider Business Mailing Address
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Address Line | 3520 PIEDMONT RD NE STE 330
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City | ATLANTA
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State | GA
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Zip | 30305-1552
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Country | US
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Telephone | 404-351-2008
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Fax | 404-351-0243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 258305
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 258305
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 84850
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License Number State | GA
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